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Multidiscipline Therapy: Cervicofacial Vascular Anomaly With Macroglossia, Maxillofacial Deformity
Xuan Jiang1, Li Hu1, Min Wei1
1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
The Laryngoscope
|May 22, 2025
Summary
Venous malformations (VMs) are common vascular defects causing pain and organ dysfunction. This study details managing a life-threatening VM case where tracheostomy was impossible, using novel multidisciplinary approaches.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Interventional Radiology
Background:
- Vascular malformations are congenital anomalies, with venous malformations (VMs) being the most common type.
- VMs can lead to severe pain, mobility issues, organ dysfunction, and life-threatening complications.
Observation:
- Intralesional sclerotherapy following tracheotomy is a standard treatment for extensive head and neck VMs.
- A life-threatening case of oropharyngeal venous malformation was encountered where tracheostomy was not feasible.
Findings:
- A multidisciplinary team developed and implemented alternative treatment strategies for the complex venous malformation.
- The case highlights the challenges and innovative solutions required when standard procedures cannot be performed.
Implications:
- This case expands treatment options for extensive venous malformations in critical locations when conventional methods are contraindicated.
- It underscores the importance of a tailored, multidisciplinary approach in managing complex vascular anomalies.
